Individual provider Active NPI

Marielys Girona Lozada, M.D.

  • Family Medicine Physician
  • Toa Baja, PR
National Provider Identifier
1124148838
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16332 Issued in PR
Practice address
HF16 Calle Lizzie Graham
Septima Seccion Levittown
Toa Baja, PR 00949-3634
Phone
(787) 795-2911
Fax
(787) 784-0680
NPI assigned
Mar 29, 2007
Last updated
Oct 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16332 PR Primary

Addresses

Primary practice location

HF16 Calle Lizzie Graham
Septima Seccion Levittown
Toa Baja, PR 00949-3634

Mailing address

PO Box 8944
Bayamon, PR 00960-8944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070907000434 PR Practitioner - Family Practice 4082707013 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16332PRMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CSM Servicios de Cuidado Inc. CurrentSince Oct 12, 2007 Accepting new patients
CRM Group Practice Past Accepting new patients

Locations

HF16 Calle Lizzie Graham
Toa Baja, PR 00949
Phone (787) 309-6283

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1124148838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8944",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009608944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HF16 CALLE LIZZIE GRAHAM",
            "address_2": "SEPTIMA SECCION LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009493634",
            "telephone_number": "787-795-2911",
            "fax_number": "787-784-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRONA LOZADA",
        "first_name": "MARIELYS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "16332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

Verify at the official NPI Registry.